妇人万病，皆因血气而生，就中产后乖违，诚难救疗。百日之内，变证尤多，或坐即运绝，卧即口干，经
日多言，还应心闷，或伤热食，变作崩中，饮冷服凉，便成腰痛。败血入腹，则胁胀虚鸣，恶露上冲，乃或呕
逆。脾之受血，发则伤寒；肝气有邪，即多嗔怒；肺之被挠，气闷喘粗；胃脏未安，多为腹胀。败血流走，百
节酸疼，留滞四肢，皮肤俱肿，失音不语，还因败血入心，散为淋沥，亦是血之入腹。大抵虚弱，积血所为，
三焦不调，众疾皆起。每寻方卷，多不会解就中产前产后之图，难全真诀。当贫困之辈，或居村中念其急难，
方当思虑，魂劳神闷，不知所裁。忽见一人形儿非常，乃言曰∶余有秘术，子其知乎？不觉惕然瞻敬之际，
复曰∶子请存于诚信，心欲救人，事当甚喜。吾有产后一
术，名曰∶乌金方，受于子，宜保惜之。余即跪，受要旨，顿觉精神爽，易事理，照觉在寤中神受。乃根据方修
合普，谐神，愿遂成产后十八方，如后。
第一论问∶胎死腹中者，何。
答曰∶缘母患染热疾，经六、七日间，脏腑极热，蒸熏其胎，是以子死，何以知之。身死便冷，不居子宫，
乃坠。脐下冷痛。口角沫出，腹冷，爪甲青，四肢逆冷，命在须臾，但以此三服，令胎热，须臾自下。
第二论问∶产难者，何。
答曰∶儿已成形，每食母之血，候十月当足月，血有余乃结成块，俗呼为儿枕。子欲生时，儿枕先破为败
血，散裹子身上，固当难产。但服此散三服，败血即散，须臾自产，或逆产，其体不同，悉皆治之。
第三论问∶胎衣不下者，何。
答曰∶产讫，败血流入胞衣中，被血胀，固当难下，但服此散，衣中血散，须臾自出。若胞衣带断，亦宜
服此散，即下。
第四论问∶血晕，产后三日起止不得，眼前自见鬼神，或闷绝不识人者，何。
答曰∶产后三日。血气未安，运走五脏，奔于肺上，时人不识，呼为暗风，以此治之，万无一瘥，但服此
药，立可安痊。
第五论问∶口于心闷及烦渴者，何。
答曰∶产后七日以来，血气未定，盖为食于热面，与血结在心，即渴。时人呼为胸膈壅闷，若以此治，万
无一痊，自服此散，立瘥。
第六论问∶产后乍寒乍热及渴者，何？
答曰∶产后虚羸，败血入于肺则热，入于脾则寒，乃渴。时人不识，呼为疟疾，若以此治，万无一痊，服
此散，立瘥。
第七论问∶产后四肢浮肿及寒热者，何。
答曰∶败血流入，五脏将满，即四肢停留，日久却还不得，乃欲为肿。时人不识，呼为水肿，且如水肿与
血肿不同，何以明之？
水气喘而小便涩，血气渴而四肢寒。先服此散，次服宣元，泻下恶物，自瘥。宣元是黑神丸。
第八论问∶言语颠狂无度，若见鬼神，或寒热及渴者，何。
答曰∶产后败血冲心，心不受邪触，被败血蒸熏，心闷，蒸热，烦渴至，躁言语颠狂。时人不识，以为风
及神邪所致，若以此治之，万无一痊。但服此散，愈。
第九论问∶产后不语者，何。
答曰∶夫人心有七孔、三毛，产后败血上行，流入心孔之中，被血闭之，即使不语。时人不先去心孔败血，
其病不除。但服此药，当渐语也。
第十论问∶产后腹痛及痢者，何。
答曰∶产后未盈月间，误饮冷水，水与血相和，流入大肠，大肠受之血，遂成病，水谷不化或泄或胀，脓
血不定，急服此散，次服调中汤，立效。
第十一论问∶产后遍身疼痛者，何。
答曰∶产后百节开张，败血流入四肢，留滞日久不散，结聚虚胀，是致疼痛。但服此散，遂去百节间败血，
须臾自定。
第十二论问∶产后瘀血及小便赤涩，大便痛者，何。
答曰∶败血流入小肠，闭 水道，即小便艰涩；流入大肠，闭 肛门，是致大小便俱难。医人不识，呼为五淋，
治之，万无一痊。但服此散，次服黑神丸，聚结物出，其病立愈。（或用洪氏方中排浓内补散，根据方服，立效。）
第十三论问∶产后崩中者，何。
答曰∶败血恶露未止，日久或食咸酸之物，遂变崩中，血结变黑，状似鸡肝，或时寒热，背膊拘急，烦闷，
名曰∶崩中。宜先服此散，次服黑神丸，即安。
第十四论问∶产后血气不调，道路闭塞，兼咳嗽多惊者，何。
答曰∶产后盈月后，月经未还，不能谨忌，好食热面，遂即成疾，积聚结块，发即气急咳嗽，四肢寒热，
心闷口干，背膊拘急，烦躁，夜梦惊悸，体全无力，多汗，心痛，月经不来，名为
血症。腹痛多睡，面色多赤，因兹不疗，遂成骨蒸，治须仔细看此疾状，或服别药，十无一应，终不得瘥，只
服此药，其患自退。
第十五论问∶腹肚胀满，吐逆者，何。
答曰∶产后败血停于脾胃之间，气遂相冲不定，即留滞，呕逆，胸胁俱胀。时人不识，呼为反胃，以此治
之，万无一存。急服此药，吐出胃中恶物，即便吃粥。
第十六论问∶产后口鼻黑色及鼻衄者，何。
答曰∶败血传入脏腑，脏腑即满，冲于头面，却还不得，焦干白黑，见于面色，冲于鼻，即鼻衄黑起，缘
产后虚热甚，变成此状。若别治之，万不得一，此名心肺败血，宜服此药。
第十七论问∶产后喘急，喉中如猫儿声者，何。
答曰∶败血冲入心肺，气与血并，遂结为块，入于喉中。如有此状，急服此药。
第十八论问∶产后中风兼有黑血点者，何。
答曰∶产后七日内下床冲风。百日内伤房劳或有灸疮，中风取性慢，易即中风也。国中之状，气涩腰痛，
筋急如角弓反张，牙关急，若有此状，即是风邪所入。或面色黑，遍身赤黑，败血流入脏腑，脏腑皆满，流入
皮肤，退反不得，变成血点或得此变。急服此药，无有不瘥。
宣经丸
巴豆（十五粒，去皮心膜，用生，绢袋子盛，以灰汁煮十余沸取出研，纸压油了重研）
上件先用乌金散三钱，以无灰酒调似糖入瓷瓶中，于重汤内熬成膏，入巴豆末，同和为丸如绿豆大。熟水
下十五丸，宜冷粥补之，忌毒物。
乌金散
头发灰（男子者不须洗，烧灰） 鲤鱼鳞（烧灰） 当归（焙，去芦须） 延胡索（生用） 好墨（
过） 肉桂（不见火，去粗皮） 麒麟竭 赤芍药（锉） 百草霜（是锅底刮下者煤）
上件九味等分，杵罗为末，每服二钱，温酒调下。又用童子
小便半盏，生姜一块同煎，调下，入麝香少许，更妙。
产前所忌药物
庐医周鼎集以为歌
斑水蛭地胆虫，乌头附子配天雄。
踯躅野葛蝼蛄类，乌喙侧子及虻虫。
牛黄水银并巴豆，大戟蛇退共蜈蚣。
牛膝黎芦加薏苡，金石锡粉对雌雄。
牙朴芒硝牡丹桂，蜥蝎飞生更 虫。
代赭蚱蝉胡粉麝，芫花薇衔草三棱。
槐子牵牛并皂角，桃子蛴螬和茅根。
根 砂与干漆，亭长溲疏茅草中。
瞿麦 茹蟹爪甲， 皮鬼箭赤头红。
马刀石蚕衣鱼等，半夏天南通草同。
干姜蒜鸡及鸭子，驴马兔肉不须供。
切忌妇人产前用，此歌宜记在心胸。
Various diseases in women arise primarily from the imbalance of blood and qi (vital energy). Among these, abnormalities occurring postpartum are indeed difficult to treat. Within the hundred days after childbirth, pathological changes are particularly numerous: some experience dizziness or fainting upon sitting, dry mouth upon lying down, incessant talking followed by chest oppression; some develop metrorrhagia (profuse vaginal bleeding) due to consuming hot-natured foods; others suffer lower back pain from drinking cold water or taking cooling medicines. When stagnant blood enters the abdomen, it causes distension and tinnitus in the hypochondrium; when lochia rushes upward, it induces vomiting and regurgitation. If the spleen is affected by blood stagnation, symptoms resembling exterior cold syndromes appear; if liver qi is disturbed by pathogens, irritability and anger increase; if the lungs are disrupted, there is chest stuffiness and coarse breathing; if the stomach has not settled, abdominal distension prevails. Stagnant blood circulating throughout the body causes soreness and pain in all joints; stagnating in the limbs causes swelling of the skin; loss of voice occurs because stagnant blood enters the heart; dribbling hematuria also results from blood entering the abdomen. Generally, weakness is caused by accumulated blood; dysfunction of the Triple Burner initiates various diseases. Whenever consulting medical texts, one often fails to fully grasp the true principles of prenatal and postnatal care. For those in poverty or living in villages, facing emergencies while pondering solutions, their spirits are exhausted and confused, unsure how to proceed. Suddenly, a person of extraordinary appearance appears and says, "I possess a secret technique; do you know it?" In the midst of sudden awe and reverence, he adds, "Please maintain sincerity. Since your heart desires to save lives, this matter should bring great joy. I have a secret formula for postpartum conditions named Wu Jin Fang (Black Gold Formula), which I impart to you; cherish it." I immediately knelt to receive the essentials, instantly feeling refreshed and mentally clear, as if enlightened by a deity in a dream. Thus, based on this formula, I compiled and popularized it, harmonizing spiritual intent, aspiring to establish eighteen postpartum formulas as follows.
First Discourse Question: What is the cause of fetal death in utero?
Answer: It occurs because the mother suffers from a heat disease. After six or seven days, the internal organs become extremely hot, steaming and cooking the fetus, leading to fetal death. How can one know this? The body becomes cold after death, does not remain in the uterus, but falls out. There is cold pain below the umbilicus, foam at the corners of the mouth, cold abdomen, cyanotic fingernails, and cold extremities, with life hanging in the balance. Administering this medicine three doses will warm the fetus, allowing it to pass naturally within moments.
Second Discourse Question: What is the cause of dystocia (difficult labor)?
Answer: Once the fetus is formed, it feeds on maternal blood. By the tenth month, excess blood coagulates into a mass, commonly called the "child pillow" (placental clot). When birth begins, this mass ruptures into stagnant blood, wrapping around the fetus, causing difficulty in delivery. Taking this powder three times disperses the stagnant blood, allowing natural delivery within moments. Even in breech presentation, where the position differs, this treatment is effective.
Third Discourse Question: What is the cause of retained placenta?
Answer: After delivery, stagnant blood flows into the placenta, causing it to swell and making expulsion difficult. Taking this powder disperses the blood within the placenta, allowing it to exit naturally shortly thereafter. If the umbilical cord breaks, this powder should still be taken to facilitate expulsion.
Fourth Discourse Question: What is the cause of postpartum syncope (blood晕), where the patient cannot rise after three days, sees ghosts, or falls into unconsciousness without recognizing people?
Answer: Three days postpartum, blood and qi are unstable. They scatter through the five zang organs and rush to the lungs. Laypeople do not recognize this condition, calling it "dark wind." Treating it with this method ensures safety; administering this medicine brings immediate recovery.
Fifth Discourse Question: What is the cause of postpartum chest oppression and thirst?
Answer: Within seven days postpartum, blood and qi are unsettled. This is often due to eating hot noodles, which bind with blood in the heart, causing thirst. Laypeople call this "chest diaphragm congestion." Treating it with this method ensures recovery; self-administration of this powder leads to immediate cure.
Sixth Discourse Question: What is the cause of alternating chills and fever with thirst postpartum?
Answer: Postpartum debility allows stagnant blood to enter the lungs, causing fever, or the spleen, causing chills, resulting in thirst. Laypeople mistake this for malaria. Treating it with this method ensures recovery; taking this powder brings immediate cure.
Seventh Discourse Question: What is the cause of postpartum limb edema with chills and fever?
Answer: Stagnant blood flows inward, filling the five zang organs, causing stagnation in the limbs that cannot return, leading to swelling. Laypeople mistake this for edema. How to distinguish between water edema and blood edema? Water disease presents with asthma and scanty urine; blood disease presents with thirst and cold limbs. First take this powder, then take Xuan Yuan Wan (Hei Shen Wan / Black Divine Pill) to purge foul matter, leading to natural recovery.
Eighth Discourse Question: What is the cause of incoherent speech, mania, seeing ghosts, chills, fever, and thirst postpartum?
Answer: Postpartum stagnant blood attacks the heart. The heart rejects the pathogen, gets steamed by the stagnant blood, leading to chest oppression, heat, thirst, restlessness, and manic speech. Laypeople attribute this to wind or divine evil. Treating it with other methods fails; only taking this powder leads to cure.
Ninth Discourse Question: What is the cause of postpartum mutism?
Answer: The human heart has seven apertures and three hairs. Postpartum stagnant blood ascends and blocks these heart apertures, causing mutism. If laypeople do not remove the stagnant blood from the heart apertures, the illness persists. Taking this medicine gradually restores speech.
Tenth Discourse Question: What is the cause of postpartum abdominal pain and dysentery?
Answer: Within the first month postpartum, drinking cold water mixes with blood and flows into the large intestine. The intestine absorbs the blood, causing illness characterized by indigestion, diarrhea, or distension, and intermittent pus and blood. Urgently take this powder, followed by Tiao Zhong Tang (Regulate Middle Decoction), for immediate effect.
Eleventh Discourse Question: What is the cause of generalized body pain postpartum?
Answer: Postpartum, the joints open up. Stagnant blood flows into the limbs, stagnating for a long time without dispersing, forming void distension and causing pain. Taking this powder removes stagnant blood from the joints, bringing immediate relief.
Twelfth Discourse Question: What is the cause of postpartum blood stasis with red, scanty urination and painful defecation?
Answer: Stagnant blood flows into the small intestine, blocking the water passages, causing difficult urination; it flows into the large intestine, blocking the anus, causing difficulty in both urination and defecation. Doctors mistake this for the Five Types of Strangury (Wu Lin). Treating it otherwise fails. Take this powder, followed by Hei Shen Wan (Black Divine Pill), to expel clots and achieve immediate cure. (Alternatively, use Pai Nong Nei Bu San from Hong's Formulas for immediate effect.)
Thirteenth Discourse Question: What is the cause of postpartum metrorrhagia (Beng Zhong)?
Answer: Stagnant blood and lochia fail to stop. Over time, or after eating salty/sour foods, it transforms into metrorrhagia. Blood coagulates and turns black, resembling chicken liver. Symptoms include alternating chills/fever, stiffness in the back and shoulders, and oppression, named Beng Zhong. Take this powder first, then Hei Shen Wan (Black Divine Pill) for stability.
Fourteenth Discourse Question: What is the cause of postpartum blood/qi imbalance, blockage, coughing, and fright?
Answer: After one month postpartum, menstruation has not returned. Failure to observe dietary restrictions, such as eating hot noodles, causes illness. Accumulations form masses. Upon attack, there is rapid breathing, coughing, limb temperature fluctuations, chest oppression, dry mouth, back stiffness, irritability, night terrors, general weakness, sweating, heart pain, amenorrhea, named Blood Syndrome (Xue Zheng). Abdominal pain, excessive sleep, and ruddy complexion occur. Without treatment, this becomes bone-steaming consumption. Treatment requires careful observation; other medicines rarely work. Only taking this medicine makes the ailment recede.
Fifteenth Discourse Question: What is the cause of abdominal distension and vomiting/regurgitation postpartum?
Answer: Stagnant blood stops between the spleen and stomach. Qi clashes uncontrollably, stagnates, causing vomiting and distension of the chest and hypochondrium. Laypeople mistake this for Fan Wei (regurgitation). Other treatments fail. Urgently take this medicine to vomit foul matter from the stomach, then consume congee.
Sixteenth Discourse Question: What is the cause of black lips/nose and epistaxis postpartum?
Answer: Stagnant blood transmits to the zang-fu organs, filling them, and rushes to the head and face but cannot retreat. The face becomes dry and dark/black. Rushing to the nose causes black epistaxis. This results from severe postpartum deficiency-heat. Other treatments fail. This is named Heart-Lung Stagnant Blood; take this medicine.
Seventeenth Discourse Question: What is the cause of postpartum rapid breathing with a sound like a cat in the throat?
Answer: Stagnant blood rushes into the heart and lungs. Qi and blood combine to form clots entering the throat. If these symptoms appear, urgently take this medicine.
Eighteenth Discourse Question: What is the cause of postpartum wind-stroke accompanied by black blood spots?
Answer: Going outdoors into the wind within seven days postpartum, or engaging in sexual activity within one hundred days, or having moxibustion sores, can lead to wind-stroke. Wind takes time to manifest slowly. Symptoms include qi stagnation, lower back pain, tendon stiffness resembling opisthotonos, locked jaw. These indicate wind-pathogen invasion. Dark face, reddish-black body, stagnant blood flowing into zang-fu organs filling them, and spreading to the skin causing blood spots, result from this transformation. Urgently take this medicine for certain cure.
Xuan Jing Wan (Circulating Menstruation Pill)
Crotonis Fructus (Badou): Fifteen seeds, peel and remove heart/membrane, use raw, place in silk bag, boil in ash lye for ten boils, remove, grind, press oil out with paper, regrind.
Take three qian of Wu Jin San (Black Gold Powder), mix with unfermented wine to a paste consistency, place in a porcelain jar, simmer over double boiler until thickened into an extract. Add Badou powder, mix well, and roll into pills the size of mung beans. Swallow fifteen pills with cooked water. Supplement with cold congee. Avoid toxic foods.
Wu Jin San (Black Gold Powder)
Capillis Cinereus (Hair Ash): From men, no need to wash, burn to ash.
Cyprini Squamae Cinereus (Carp Scale Ash): Burn to ash.
Angelicae Sinensis Radix (Danggui): Roast, remove radicle.
Corydalis Rhizoma (Yanhusuo): Use raw.
Inkus Optimus (Hao Mo): Pass through sieve.
Cinnamomi Cortex (Rougui): Do not expose to fire, remove rough bark.
Draco Sanguis (Qilinjie).
Paeoniae Radix Rubra (Chishaoyao): Cut.
Carbonis Herbae (Baicaoshuang): Scrapings from the bottom of the pot.
Nine ingredients in equal parts, pound and sift into powder. Take two qian per dose, mixed with warm wine. Alternatively, decoct half a cup of young boy's urine with a piece of ginger, mix the powder into this decoction. Adding a little Moschus (Shexiang) is even better.
Contraindicated Medicines Before Childbirth
Collected by Zhou Ding of Lu, presented as a rhyme:
Ban (Spotted Toad), Shui Zhi (Leech), Di Dan Chong (Ground Beetle), Wu Tou (Aconite Root), Fu Zi (Prepared Aconite Child), Pei Tian Xiong (Aconite Lateral Root).
Zhi Zhu (Rhododendron), Ye Ge (Aconitum heterophyllum), Lou Gu (Mole Cricket), Wu Hui (Aconite Root), Ce Zi (Lateral Aconite Root), Ji Meng Chong (Horsefly Larva).
Niu Huang (Calculus Bovis), Shui Yin (Mercury), Bing Ba Dou (Croton Seed), Da Ji (Euphorbia Root), She Tui (Snake Skin), Gong Wu Gong (Centipede).
Niu Xi (Achyranthes Root), Li Lu (Veratrum Root), Jia Yi Yi (Coix Seed), Shi Jin (Mineral Metal), Xi Fen (Tin Powder), Dui Ci Xiong (Male/Female Minerals).
Ya Po (Natrii Sulfas), Mang Xiao (Mirabilite), Mu Dan Pi (Tree Peony Bark), Gui (Cinnamon Twig), Xi Xie (Gecko), Fei Sheng (Bird Egg?), Geng Chang Chong (?).
Dai Zhe (Hematite), Zha Chan (Grasshopper), Can (Silkworm Cocoon), Hu Fen (Lead Carbonate), She (Moschus), Yuan Hua (Genkwa Flower), Wei Xu (Artemisia Annua), Cao San Leng (Curcuma Zedoaria).
Huai Zi (Sophora Seed), Qian Niu (Pharbitis Seed), Bing Zao Jiao (Gleditsia Fruit), Tao Zi (Peach Kernel), Qi Cao (Mealworm), He Mao Gen (Imperata Rhizome).
Gen Sha (Realgar?), Yu Gan Qi (Dry Resin), Ting Zhang (Earwig?), Sou Shu (Desmodium Stem), Mao Cao Zhong (?).
Qu Mai (Polygonum Aviculare), Ru (?), Crab Claw, Jia (Shell), Pi (Bark), Gui Jian (Arrow Wood), Chi Tou Hong (?).
Ma Dao (Clam), Shi Can (Stone Silkworm), Yi Yu (Flying Fish), Deng (etc.), Ban Xia (Pinellia), Tian Nan Tong (Arisaema), Tong Cao (Tetrapanax Pith).
Gan Jiang (Dried Ginger), Suan (Garlic), Ji (Chicken), Ji Ya Zi (Duck), Lv Ma Tu Rou (Donkey/Horse/Rabbit Meat) Do Not Supply.
Strictly Avoid These for Women Before Childbirth; Memorize This Rhyme in Your Heart.